KRISTINA THEODOSOPOULOS CF-SLP
NPI 1205527066
Speech-Language Pathologist in Eden Prairie, MN

Active since May 15, 2023
6409 CITY WEST PKWY STE 206, EDEN PRAIRIE, MN 55344(952) 500-8871(612) 778-1588 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristina Theodosopoulos Cf-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA THEODOSOPOULOS CF-SLP (NPI 1205527066) is an individual speech-language pathologist provider in Eden Prairie, Minnesota and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1205527066
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTINA THEODOSOPOULOSCredential: CF-SLP
Location Address6409 CITY WEST PKWY STE 206Eden Prairie, MN 55344-7846
Mailing Address6409 City West Pkwy Ste 206Eden Prairie, MN 55344-7846 · (952) 500-8871 · Fax (612) 778-1588
Fax(612) 778-1588
Sole ProprietorNo
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1205527066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6409 CITY WEST PKWY STE 206, Eden Prairie, MN 55344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Theodosopoulos Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kristina Theodosopoulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 clinicians in this Medicare group
Speech-Language Pathologist
16090 ALPINE WAY
Eden Prairie, MN 55346
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Occupational Therapist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Occupational Therapist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Theodosopoulos's NPI number?

The NPI number for Kristina Theodosopoulos is 1205527066. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Kristina Theodosopoulos located?

Kristina Theodosopoulos practices at 6409 City West Pkwy Ste 206, Eden Prairie, MN 55344. The listed phone number is (952) 500-8871.

What is Kristina Theodosopoulos's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kristina Theodosopoulos enrolled in Medicare?

Yes. Kristina Theodosopoulos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristina Theodosopoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Theodosopoulos reassigns Medicare benefits to 2 organizations: Urban Speech & Occupational Therapy (Eden Prairie, MN) and (Eden Prairie, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Theodosopoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Theodosopoulos was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.